# Fixation of Gardens Type 4 Intracapsular Neck of Femur Fracture Using the GS Kulkarni Controlled Dynamic Hip Screw System

**Authors:** Mukesh O Phalak, Abhishek Bhadauriya, Archit Gupta, Sagar Gurnani

PMC · DOI: 10.7759/cureus.64848 · Cureus · 2024-07-18

## TL;DR

A 50-year-old man with a severe hip fracture was successfully treated using a new dynamic hip screw system, resulting in good recovery.

## Contribution

The paper presents a successful clinical case using the GS Kulkarni controlled dynamic hip screw for Garden Type IV femoral neck fractures.

## Key findings

- The patient achieved bone healing in 14 weeks.
- The patient's Harris hip score improved significantly to 93.65.

## Abstract

The goal for surgical treatment of femoral neck fractures is achieving union through an anatomic reduction and stable fixation while avoiding osteonecrosis. This report describes the case of a 50-year-old male who presented with pain and swelling in his right hip and inability to bear weight over his right lower limb following a road traffic accident. The X-ray revealed a right-sided femoral neck fracture (Garden Type IV and Pauwels Type III). The patient was surgically treated with the GS Kulkarni (GSK) controlled dynamic hip screw. On follow-up, the bone healing time was 14 weeks and the patient achieved a Harris hip score of 93.65 with significant improvement.

## Linked entities

- **Diseases:** femoral neck fracture (MONDO:0043589)

## Full-text entities

- **Diseases:** road traffic accident (MESH:D000081084), pain (MESH:D010146), Gardens Type 4 (MESH:C535697), Garden Type IV (MESH:C000631847), Hip (MESH:D025981), Neck of Femur Fracture (MESH:D005265), swelling (MESH:D004487), Pauwels Type III (MESH:C536044), osteonecrosis (MESH:D010020)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

10 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11330312/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC11330312/full.md

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Source: https://tomesphere.com/paper/PMC11330312